[Facility Name]
Unincorporated Weld County
Facility Specific Emergency Response Information
Overview and [Company’s Name] Detailed Emergency Response Plan
Weld County’s Office of Emergency Management and [Insert Fire District Name] Fire Department has been, or will be, provided a copy of [InsertCompany Name]field-wide Emergency Response Plan (ERP), which details how [Insert Company Name]personnel will respond in the event of an emergency.
This document provides site specific information for the [Insert Site Name] location that will complement the field wide ERP. The information in this document relates specifically to the time during the construction, drilling, and completion of the [insert number] proposed wells on this location.
During the time between when production operations start and when all completion equipment is removed from this location, any emergency at the location will be responded to according to [Insert Company Name]field-wide ERP.
[InsertWell or Site name] Location Specifics
Location Overview
The [insert name of well site] location is [describe location using county road numbers, street names and compass directions (N,S,E,W)] in unincorporated Weld County. The latitutde/longitude for the location is [40.######, -104.######.]
Transportation Routes
The main access into the location will be [describe access using county road numbers, street names and compass directions (N,S,E,W).] Roughly [%] of the traffic will come from the [compass direction, N,S,E,W] and [%] [compass direction, N,S,E,W].
Location Equipment
The [Insert Well Name]location will contain approximately:
#oil wells
#separators
#oil tanks
#water tanks
[check box] at least one MLVT filled with fresh water during completion operations
[other production equipment]
Schools and Other High Occupancy Buildings
[check box] There are no schools or other high occupancy buildings within 3,400 feet of the location.
[check box] There are # schools or other high occupancy buildings within 3,400 feet of the location.
Nearby Residences
There are # residences within 1000 feet of the edge of disturbed area of the location.
[Please describe the number and location of residences or buildings, and their location in number of feet from the well location.]
Nearby Hospitals
Provide the information for the two closest hospitals:
Name, Address, Phone Number, Travel Time by air and ground, and trauma level.
NOTE: Northern Colorado Medical Center has a burn unit.
Contact Information
[Insert Company Name] Personnel
For any emergency related incident, First Responders or Weld County’s Office of Emergency Response should contact the following phone numbers:
Contact / Phone[Insert Name],Safety Supervisor / ###-###-####
[Insert Name],Director EH&S / ###-###-####
[Insert Name], 24-Hour Emergency Response Number / ###-###-####
First Responders
The [Insert Well /Site Name] location has the following First Responders and Emergency Management Offices that will be contacted in the case of an emergency:
Contact / Phone[Insert Fire DIsterct Name]Fire Department / ###-###-####
Weld County Sheriff / 970-356-4015
Weld County Office of Emergency Management / 970-304-6540
Weld County Regional Communication Center / 970-350-9600 option 4
A copy of this information will be kept onsite so personnel quickly know who to contact in the event of an emergency.
Government Agencies
The [Insert Well/Site Name] location has the following government agencies and local contacts that will be contacted in the event of an emergency:
Contact / PhoneCOGCC / 303-894-2100
CDPHE / 877-518-5608
Weld County (Troy Swain) / 970-702-1256
Local Town or City rep [Insert Name of Person to contact] / ###-###-####
Site Safety Requirements
Personal Protective Equipment
All personnel on location are required to be equipped with appropriate personal protective equipment (PPE) that complies with OSHA requirements for typical oil and gas operations. The minimum PPE to enter the location includes hard hat, safety glasses, safety toe boots, and fire resistant clothing (FRC). All contractors and visitors are responsible for providing their employees with the appropriate PPE while on location. In addition, all contract personnel entering the location to perform work must understand and abide by [Insert Company Name] contractor expectations relating to environmental, health, and safety requirements.
Additionally, emergency items such as portable explosive and poisonous gas detectors and a first aid command center will be onsite during the drilling and completion operations.
Daily Safety Meetings
All personnel on location during drilling and completion operations are required to attend daily safety meetings.
Controlled Access
During drilling and completion operations all employees and approved visitors will be required to enter through a manned security checkpoint, sign in, and be provided a safety briefing.
Emergency Muster/Assembly Points
A muster area will be setup on location. Large red signs will identify the location and it will be pointed out during the daily safety meetings.
Location of Emergency Equipment and Supplies
As per [Insert Company Name]field-wide ERP, if an emergency were to occur related to public or worker safety, [Insert Company Name]personnel will immediately contact the[Insert the ERP Provider Name if contracted]. [Insert ERP Company Name] ERP provider and all necessary emergency equipment and supplies will be brought to the location immediately.
[Insert ERP Company Name]emergency response capabilities include rapid mobilization of a team of toxicologists, industrial hygienists, and medical staff to quickly respond to these types of incidents. Emergency response services include identification of involved petroleum, analysis of environmental fate, determination of safe levels in air, water, soil, or other media, education of local health providers regarding the involved substances, and general incident management.
[If ERP is not contracted, please explain your interal response procedures.
Spills
All spills will be reported to the COGCC and Weld County as required per COGCC rules and immediately cleaned up per[Insert Company Name] field-wide ERP.
Coordination with First Responders and Office of Emergency Management
Upon request, [Insert Company Name] EH&S staff will meet with personnel from any first responder agency listed above and the Office of Emergency Management prior to commencing operations on the location. The purpose of the meeting would be to review [Insert Company Name]’semergency response plan, tour the location, and discuss planned facilities. First responders and the Office of Emergency Management personnel should contact [Insert Company Name]Safety Supervisor [Insert Name of Supervisor]at ###-###-#### to set up this onsite meeting.
Planned operations are set to begin [Insert Date].
Reviewed and Approved by:
Weld County Office of Emergency Management
______
NameSignatureDate
Fire District having jurisdiction:
______
NameSignatureDate
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